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Erschienen in:
01.11.2007 | Clinical Image
Heart-shaped sesamoid in multiple epiphyseal dysplasia
Erschienen in: Pediatric Radiology | Ausgabe 11/2007
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A 15-year-old boy presented with bilateral pain and stiffness in the hips, knees and ankles. He had been known for many years to have recessive multiple epiphyseal dysplasia (MED). Radiographs of the knees showed abnormally shaped knee epiphyses and a double-layered patella (DLP) consisting of anterior and posterior portions (Fig. 1, asterisks). Radiographs of the feet revealed short metatarsal bones and irregularly shaped tarsal bones with ossification. Additionally, there was a peculiar bony fusion of the sesamoid bones of the first toe bilaterally, resulting in a heart-shaped appearance (Fig. 2, arrows).
Fig. 1
Lateral radiographs of the knees
Fig. 2
AP radiographs of the feet
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